摘要
目的:分析乳腺增生患者中医辨证规律与多普勒彩超结果的相关性。方法:回顾性分析我院2019年1月~2021年1月期间收治的120例乳腺增生患者,按照中医证候表现分为肝气瘀滞证组63例,痰凝瘀结证组32例,冲任失调证组25例三组患者,所有患者均使用多普勒彩超检查腺体二维声像图分型、血流信号密度、收缩期最大血流速度(Vmax)、阻力指数(RI),使用Logistic回归分析乳腺增生中医辨证规律和多普勒彩超检查结果的相关性。结果:三组患者二维声像图分型比较有明显差异(P<0.05),且肝气瘀滞证组主要为Ⅰ型和Ⅱ型,痰凝瘀结证组主要为Ⅱ型,冲任失调证组主要为Ⅰ型和Ⅱ型;三组患者血流信号密度分级比较有明显差异(P<0.05),且冲任失常证组<肝气瘀滞证组<痰凝瘀结证组;三组患者Vmax、RI比较均有明显差异,且痰凝瘀结证组>肝气瘀滞证组>冲任失调证组(P<0.05)。Logistic相关性分析中,肝气瘀滞证与二维声像图分型、血流信号密度分级、Vmax、RI均无明显相关性(P>0.05);痰凝瘀结证与二维声像图分型无明显相关性(P>0.05),与血流信号密度分级、Vmax、RI均明显相关(P均<0.05),且呈现正相关;冲任失调证与二维声像图分型无明显相关性(P>0.05),与血流信号密度分级、Vmax、RI均明显相关(P均<0.05),且呈现负相关。结论:乳腺增生患者中医辨证分型与多普勒彩超检查结果具有明显对应关系,可为临床中医辨证治疗提供依据。
Objective:To analyze the correlation between TCM syndrome differentiation rules and color Doppler ultrasound results in patients with breast hyperplasia.Methods:A retrospective analysis was performed on 120 patients with breast hyperplasia treated in the hospital between January 2019 and January 2021,and the patients were divided into a liver-Qi stagnation syndrome group(63 cases),a phlegm coagulation stasis syndrome group(32 cases)and a Chong-Ren disorder syndrome group(25 cases).All patients underwent color Doppler ultrasound to check the glandular two-dimensional sonographic classification,blood flow signal density,maximum systolic blood flow velocity(Vmax)and resistance index(RI).Logistic regression analysis was used to analyze the correlation between TCM syndrome differentiation rules of breast hyperplasia and color Doppler ultrasound examination results.Results:There was a significant difference in the two-dimensional sonographic classification among the three groups(P<0.05),and the liver-Qi stagnation syndrome group was mainly type I and type II,and the phlegm coagulation stasis group was mainly type II and the Chong-Ren disorder syndrome group was mainly type I and type II.The blood flow signal density classification was significantly different among the three groups(P<0.05),and the classification was shown as the Chong-Ren disorder syndrome group<the liver-Qi stagnation syndrome group<the phlegm coagulation stasis syndrome group.There were statistical differences in Vmax and RI among the three groups of patients,and the two indicators were shown as the phlegm coagulation stasis syndrome group>the liver-Qi stagnation syndrome group>the Chong-Ren disorder syndrome group(P<0.05).Logistic correlation analysis showed that there was no significant correlation between liver-Qi stagnation syndrome and two-dimensional sonographic classification,blood flow signal density classification,Vmax and RI(P>0.05).Phlegm coagulation stasis syndrome was not significantly correlated with two-dimensional sonographic classification(P>0.05),but was significantly positively correlated with blood flow signal density classification,Vmax and RI(all P<0.05).Chong-Ren disorder syndrome was not significantly correlated with two-dimensional sonographic classification(P>0.05),and but was significantly negatively correlated with blood flow signal density classification,Vmax and RI(all P<0.05).Conclusion:There is a clear corresponding relationship between TCM syndrome differentiation classification and color Doppler ultrasound examination results of patients with breast hyperplasia,which can provide a basis for clinical TCM syndrome differentiation and treatment.
作者
袁洪波
YUAN Hongbo(Department of Ultrasound,the Central Hospital of Enshi Tujia and Miao Autonomous Prefecture,Enshi Hubei 445000,China)
出处
《四川中医》
2022年第7期163-166,共4页
Journal of Sichuan of Traditional Chinese Medicine
关键词
乳腺增生
中医辨证规律
多普勒彩超
二维声像图分型
血流信号密度
Breast hyperplasia
TCM syndrome differentiation rules
Color Doppler ultrasound
Two-dimensional sonographic classification
Blood flow signal density
